A nurse is collecting data from a child who has sickle disease and is experiencing a vaso-occlusive crisis. Which of the following findings should the nurse expect?
Pain
Vomiting
Constipation
Bradycardia
The Correct Answer is A
A. Pain: This is the most common and significant symptom of a vaso-occlusive crisis in sickle cell disease. The sickled cells block blood flow, leading to intense pain and tissue ischemia.
B. Vomiting: Vomiting is not a typical finding associated with a vaso-occlusive crisis. While it may occur due to other complications or treatments, it is not directly related to the crisis itself.
C. Constipation: Constipation is not a typical symptom of a vaso-occlusive crisis. It may occur due to decreased activity or medication side effects, but it is not directly linked to the sickle cell crisis.
D. Bradycardia: Bradycardia is not expected in a vaso-occlusive crisis. The crisis usually involves pain and stress, which might increase the heart rate rather than decrease it.
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Related Questions
Correct Answer is D
Explanation
A. New onset of seizure disorder in the child's sibling: This does not contraindicate DTaP vaccination unless the child itself has a history of seizures or neurological disorders.
B. Evidence of sensitivity to egg antigens: DTaP vaccine is not contraindicated by egg allergy; this is more relevant to influenza vaccines.
C. Afebrile otitis media: This is not a contraindication for DTaP vaccination.
D. Temperature of 40.5° C (104.9° F) after last DTaP: A high fever following a previous dose of DTaP may indicate a severe reaction, necessitating caution or further evaluation before administering another dose.
Correct Answer is A
Explanation
A. "Bend forward from the waist with your head and arms downward." This position, known as the Adam’s forward bend test, is commonly used to screen for scoliosis. It allows the nurse to observe for any asymmetry in the rib cage or spine, which could indicate scoliosis.
B. "Lie prone on the examination table." Lying prone (face down) does not allow for the assessment of spinal curvature or rib asymmetry. This position is not useful for scoliosis screening.
C. "Touch your chin to your chest, and then look up at the ceiling." These movements assess neck flexibility and range of motion, which are not relevant for screening scoliosis.
D. "Turn to the side, and remain in a relaxed position." Turning to the side and relaxing does not provide the necessary view of the spine to assess for scoliosis. This position does not allow for a clear view of any asymmetry in the spine or ribs.
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